HomeMy Public PortalAboutAMERICAN BEACHWEAR.pdf{
CITY OF T'13EE ISLAND
SIDEWALK C.Aft OR MERCHANDISE DISPLAY
AMERICAN
WILLIAMNAVON
P.O. BOX 2812
TYBEE ISLAND, GA. 31328
Business Location: 17 TYBRISA STREET
Certificate : 0003376
Date Issued:1/20/2022
clear pedestrian path of a minimumof 4 feet must be maintained at all times. Compliance with
ADA provision is required at all times. A sidewalk element shall not be permanently attached to
the sidewalk. Sidewalk elements shal be stacked/set aside immediately porn ceasing daily
operation and must be secured in such a manner as to prevent their use. Use of the right-of-way=
may be temporarily suspended at the discretion of the city. Sale transactions shall not occur on
si eivalks. All sales must occur in the building.
MERCHANDISE DISPLAY
TIS OF OPERATION
Sunday :OO A -1:00A
Monday :O A -1:OOA
Tuesday :O AM -- 1: OA 1
Wednesday : Aid - 1: OA
Thursday : OA1 1=1:OOA
Friday :OA 1:OA
Saturday :OOA--1:00AI
This er it and plans must be displayedin a conspicuous pI in your business establishment.
The City of Tybee Island must be notifiedof y change i tato .-This Permitis not transferable
and is subject to being revoked if abused. This r it expires on 1213112022
/� . L 1 -,--
George Shaw
Planning & Zoi er
P.O. Banti: 2749. 403 Butler Avenne - Tybee Island, Georgia 31328-2749
(912) 786®4573 -1# (912) 786-5737
CITY OF TY EE ISLAND
. . . . . . . . . . . SIDEWALK CAFt OR MERCHANDISE DISPLAY
PERAUT APPLICATION
Business name I I- L -N V�J C� ("I 0<-
A\) 5 c" o, f I-), J, I t�-I) C
Street address
k
4,
BY
Mailing address- �kLM6 �Z-SL�R;Qck�u
�, �3, I Z
Name of business ow
Email
Phone numbers of o Home
Mobile
Sidewalk Use Fee WOO
An application may require
30 days or more toprocess.
DIRECT AN APPEAL OF PERMIT
DENIAL TO THE CITY MANAGER
Name of applicant if other than owner: i LL iN rrc,, N f\4 O rJ
Email
Phone numbers of applicant: Business t 7 , - , L Home
)-IK6
Mobile
Relationship of applicant to owner (same, employee, agent, etc) (L A L
V)A 1`1
Mailing address of applicant
Application is for: 0 Sidewalk Caf6 Merchandise Display
1. The length and width in feet of the public right-of-way to be used:
2. The number of tables and chairs to be provided at the Sidewalk Caf6:
1 Hours of operation of the Sidewalk Caf6 or Merchandise Display:
Sunday: until
Monday: until N
1100 or 11f12 USE 01111$d
Tuesday: until Date R.�1Ved
Wednesday: until
Thursday: until
Friday: until
Saturday: 9'(1 until 0o
Sidewalk elements of cafes and merchandise displays must be secured daily when normal business operations cease
The applicant shall not replace the approved items or change the layout without written authorization from the Planning and Zoning Manager.
DOCUMENTS REQUIRED WITH APPLICATION
CA Affidavit (must be notarized; seepage 2)
�5 Indemnification Agreement (must be notarized; seepage 3)
0 Certificate(s) of Insurance listing the City of Tybee Island as an additional insured (seepage 4)
0 A Site Plan to scale with measurements of the proposed sidewalk area and all items to be placed on or within it (seepage 4)
0 Photograph(s) of the sidewalk area (o anal)
Date
Applicant's signature ?\"
Printed name \N t 1-1. 1' A- ,r- t\t
ROUTING
APPROVE OR DENY
BY
DATE
FEE _
City Marshal
Sidewalk Use Fee WOO
An application may require
30 days or more toprocess.
DIRECT AN APPEAL OF PERMIT
DENIAL TO THE CITY MANAGER
Planning & Zoning Manager
403 Butler Avenue, P.O. Box 2749, Tybee Island, Georgia 31328
(912) 472-5033 FAX (912) 786-9539
I.,schaaf1@)cityoftybee.org
1211412012
Page I of 6
AFFIDAVIT
I, l- � 11 rr -a �'J 1W O acting in the capacity of G N t, AJ YQ A%/k)-11,J'
name owner, agent, employee, etc.
on behalf of the establishment known as 3 L-\1 > htar: t) - ,. �1 / 6 4 k-- A f located at
business name
4-7� bw> t '51-- Tybee Island, Georgia, attest to the following:
street address
o I have reviewed this application and all entries are correct and accurate to the best of my knowledge.
o There are no omissions of fact.
o There are no items located on the sidewalk where the Sidewalk Cafe or Merchandise Display is proposed that would prohibit the
Planning and Zoning Manager from issuing a Sidewalk Cafe or Merchandise Display Permit.
o No violation(s) of Georgia Law, Federal Law, Local Ordinance, or any Rule or Regulation of the State Revenue Commissioner,
or any Rule or Regulation of the City of Tybee Island or Chatham County have been adjudicated against this business within the
last 12 months preceding the date of the application, or,
o The following violation(s) of Georgia Law, Federal Law, Local Ordinance, or Rule or Regulation" of the State Revenue
Commissioner, or Rule or Regulation of the City of Tybee Island or Chatham County have been adjudicated against this
business within the 12 months preceding the date of the application:
o I have read the South End Policies and Procedures and will abide by said South End Policies and Procedures at all times during
the term of the SiVCafdeordise Display Permit.
Notarized Signature: Date:
Printed Name: 6 i til_ f(V 0i
STATE OF GEORGIA
COUNTY OF CHATHAM
The foregoing instrume t acknowledged before me this day of , 20 by
a
who is personally known to me or who has hod e identification.
r,G
10,f
eo
Sign ture of Notary Publ A 'w
®�
My Commission expires:
12/14/2012
Page 2 of 6
CAGREEMENT
(RELEASE AIVD HOLD L1A RMLESS A GR EEMENT)
This Indemnification, Release and Hold Harmless Agreement is made this day of 120_, by
\AJ' II (u I L),-,, N1 i\ q 0 0\-!' ("APPLICANT") for the benefit of the City Tybee Island, Georgia ("CITY"). When
referred to herein, the CITY means the Planning and Zoning Manager, the municipality, its City Council, and each member thereof,
and its officers, employees, advisory board members and representatives.
WHEREAS, the APPLICANT is the owner or lessee of the property located at Tybee
Island, Georgia; and,
WHEREAS, the APPLICANT has applied for a Sidewalk Cafd or Merchandise Display Permit for the temporary use of the sidewalk
area abutting the property described above pursuant to City Codes, ordinances, and policies and is required thereby to indemnify,
defend and hold and save the CITY harmless for its use of the public right-of-way (hereinafter collectively the "PROPERTY'); and,
WHEREAS, the APPLICANT is authorized to and has obtained all necessary approvals for this Agreement,
NOW, THEREFORE, in consideration of the CITY allowing the APPLICANT to use the public right-of-way for its Sidewalk Cafe
or Merchandise Display the APPLICANT agrees as follows:
1. The above recitals are true, and correct and are incorporated herein by reference,
2. The APPLICANT agrees to indemnify and hold and save the CITY harmless from any and all damages, loss or liability occurring
by reason of any injury of any person or property which may occur as a result or consequence of the issuance of the Sidewalk
Cafe or Merchandise Display Permit or the use of the PROPERTY by the APPLICANT or their family, officers, agents,
representative, guests, employees, invitees, or persons contracting with either or any of them or occasioned by an act or omission,
neglect, or wrongdoing of the APPLICANT or their family, officers, agents, representative, guests, employees, invitees, or
persons contracting with either or any of them. APPLICANT will, at their own cost and expense, defend and protect the CITY
against any and all such suits, claims or demands which may be claimed to have arisen as a result or consequence of or in
connection with the issuance of the Sidewalk Cafe or Merchandise Display Permit or the use of the PROPERTY by the
APPLICANT or their family, officers, agents, representative, guests, employees, invitees, or persons contracting with either or
any of them or occasioned by an act or omission, neglect, or wrongdoing of the APPLICANT or their family, officers, agents,
representative, guests, employees, invitees, or persons contracting with either or any of them. Notwithstanding the foregoing, this
should not be construed so as to require the applicant or anyone else to indemnify the CITY for claims arising from the sole
negligence of the CITY, its agents, employees, or officers.
3. The APPLICANT does hereby remise, release, satisfy, quit claim, and forever discharge the CITY from any and all actions, suits,
claims or demands that they ever had, now has, or may have in the future against the CITY as a result of the granting of the
Sidewalk Cafd/Merchandise Display Permit or because of the use of the PROPERTY by the APPLICANT or their family,
officers, agents, representatives, guests, employees, invitees, or persons contracting with either or any of them.
4. The APPLICANT will maintain liability or other insurance as required by City codes, ordinances, and policies which shall name
the CITY as an additional insured and for which the CITY will be given a current certificate. Said liability or other insurance
shall provide coverage for any suit or claim arising from the issuance of the Sidewalk Cafd or Merchandise Display Permit or the
use of the PROPERTY by the APPLICANT.
5. The terms of this Indemni ication A eement shall be binding upon and inure to the benefit of the parties and their heirs, legal
representatives, successor and ass' ns.
Notarized signature:
Printed name-, € L L 1v No o i°
Date:
STATE OF GEORGIA
COUNTY OF CHATHAM
The f aegmtnstrrent w s cknowledged before me this day of I I , 20 'by
who is personally known to me oD ®.g� 'ification.
a
®�Maww
Signature of Notary Public�y. pUB0Ca
i
4f COUO
My Commission expires:®'��� JULY 213
Page 3 of 6 ����� 12/14/2012
IfWI'li
I:l DATE i D
CERTIFICATE OF LIA131LITY INSURANCE
1/13/2022
THIS CERTIFICATE IS ISSUED A TTER OF INFORMATION
ONLY RIGHTS . "-O....
N THE CERTIFICATE HOLDER. THIS
CERTIFICATE AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED
INSURANCEBELOW. THIS CERTIFICATE OF DOES CONSTITUTE A CONTRACT AUTHORIZED
REPRESENTATIVE 1" PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT:ADDITIONAL. ... be endorsed. SUBROGATION.
cer
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to tW
• f, . • f f
f t
ER
• r r +
Savannah4
RDING COVERAGE
OA I 0INSURER(S) AF -_JLWFjC .. ,-& i•
Tybee Island CA 31328
N.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR IHE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCI LISIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADDL
SUBR
INSURED
NAVOENT-01
INSURER B
Silver Waves, Inc.
TY
- —
Funky Fish, Inc.
MMIDDNYYY
INsuRERC:
A
Insurance Department
COMMERCIAL ENERALLIABILITY Y
INSURER D_ ...
--
P.O. Box 2497
9/112022
INSURER E:
Tybee Island CA 31328
N.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR IHE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCI LISIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADDL
SUBR
POLICY EFF
POLICY EXP
Waves
LTR
TY
AM POLICY NUMBER
IMMMROOM
MMIDDNYYY
LIMITS
A
X
COMMERCIAL ENERALLIABILITY Y
ENP 0398909
9(1(2021
9/112022
EACH OCCURRENCE _ _$ 1,000 Q00
�X
DAMAGE TO RENTED
$500,000
CLAIMS -MADE OCCUR
PREMISg§jEa occurrence)_
MED EXP (Any one person) $ 5,006
PERSONAL&ADV INJURY $1,006,000
AGGREGATE LIMIT APPLIES PER:
GEN'L
GENERAL AGGREGATE $ 2,000,000
-_
F-]RO
P-
POLICY JEGT ] LOG
PRODUCTS-COMPlOPAGG $2,000000
$
OTHER
COMBINED SINGLE LIMIT $
AUTOMOBILE LIABILITY
(Ea accident}
BODILY INJURY (Per person) $
ANY AUTO
ALL OWNED SCHEDULED
BODILY INJURY (Pse accident)NON-OWNED
AUTOS AUTOS
PROPERTY DAMAGE $
- HIRED AUTOS AUTOS
...
Per accident_
UMBRELLA LIAB OCCUR
EACH OCCURRENCE $
EXCESS LIAB CLAIMS -MADE
_____
AGGREGATE $
DED RETENTION $
$
WORKERS COMPENSATION
PER OTH-
STATUTE ER____
AND EMPLOYERS' LIABILITY (
YIN
.. ._
ANY PROPRIETORIPARTNERIEXECUTIVE
EL EACH ACCIDENT _ $
- - -----
OFFICERIMEMBER EXCLUDED? N / A
.._ --__ --
(Mandatory in NH)
E.L.DISEASE - EA EMPLOYEE $
-
If yes, describe under-
DESCRIPTIONOFOPERATIONSbelow
E.L. DISEASE -POLICY LIMIT $
DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Aloha Gifts
25 Tybrisa Tybee Island, GA 31328
American Beachwear
17 Tybrisa Tybee Island, GA 31328
Waves
704 1st Street Tybee Island, GA 31328
Island Style
502 1 st Street Tybee Island, GA 31328
Waves
27 Tybrisa Tybee Island, GA 31328
High Tide
406 1 st Street Tybee Island, GA 31328 '
CERTIFICATE HOLDER CANCELLATION
City of Tybee Island
401 Butler Avenue
Tybee Island GA 31328
AC RD 25 (2014101)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACRD